Organization Active NPI

Amedia Hospice, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1629458682
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMEDIA HOSPICE, LLC
Practice address
1800 NE Loop 410 Ste 400
San Antonio, TX 78217-5210
Phone
(210) 858-3384
Fax
(210) 377-3447
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosalinda Ramirez
Title
Administrator
Phone
(210) 377-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1800 NE Loop 410 Ste 400
San Antonio, TX 78217-5210

Mailing address

1800 NE Loop 410 Ste 400
San Antonio, TX 78217-5210
Phone (210) 858-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001002965 TX Part A Provider - Hospice 6608184163 Practice locations: San Antonio, TX

Hospice certification: CCN 741632

Legal name
AMEDIA HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 24, 2016
Last certification
Aug 4, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
in TX
Enrollment address
1800 NE Loop 410
Ste 400
San Antonio, TX 78217-5210

Care Compare: Hospice

Medicare Care Compare
Listed as
Amedia Hospice LLCCCN 741632 · All quality measures
Ownership
For-Profit
Certified
Aug 24, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2145116Amedia Hospice, LLC1800 NE Loop 410, Suite 400, San Antonio, TX 78217Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

6323 Sovereign St
Ste 290
San Antonio, TX 78229
Phone (210) 377-3444

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
River Griffith-Ross Individual W-2 Managing EmployeeAd; Mar 20, 2023
Operational/Managerial ControlAdministrator Mar 20, 2023
Rosalinda Ramirez Individual 5% Or Greater Direct Ownership Interest Jun 15, 2015 50%
W-2 Managing EmployeeBoard Member Cfo Jun 15, 2015 50%
Operational/Managerial ControlCeo Jun 1, 2020
Frank Gamboa Individual 5% Or Greater Direct Ownership InterestCfo Jun 15, 2015 50%
Corporate DirectorBoard Member Jun 15, 2015 50%
W-2 Managing EmployeeCfo Jun 15, 2015 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1629458682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NE LOOP 410 STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175210",
            "telephone_number": "210-858-3384",
            "fax_number": "210-377-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NE LOOP 410 STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175210",
            "telephone_number": "210-858-3384",
            "fax_number": "210-377-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDIA HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ROSALINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-377-3444"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.